Cosmetic Oculoplastics

Blepharoplasty: Upper & Lower Eyelid

The tone and shape of eyelids can loosen and sag with time. Surgical repair of this condition can give the eyes a more youthful look by removing excess skin, bulging fat, and lax muscle from the upper or lower eyelids. In the upper eyelids, excess skin can result in a tired appearance or can result in difficulty seeing in the top segment of your visual field. As a result, some forms of blepharoplasty surgery are considered cosmetic eyelid surgery while in some other cases it is medically necessary to allow the patient to see better. Lower eyelid blepharoplasty is almost always a cosmetic procedure to improve the shape, contour and appearance of loose skin, bulging fat, and irregular shape.

Double Eyelid Surgery

Forehead & Brow Lift - Forehead/Brow lift (endoscopic, external, and internal)

Forehead and brow lifting addresses eyebrow position and loose or wrinkled forehead skin. There are several surgical techniques available to address this condition that will be discussed with you at the initial consultation. Brow shape differs between males and females; males have relatively minimally arching brows that rest right above the bone of their orbit. Females tend to have a more pronounced arch to their brows and they tend to rest above the bone of their orbit. Brow lifting can be done at the same time as a blepharoplasty and is covered by insurance in some cases. The benefit of combining a brow lift with a blepharoplasty is that the brows are repositioned to a more natural and youthful position thereby reducing the amount of upper eyelid skin required to be removed.

Cosmetic Ptosis (droopy lids)

When drooping of the upper eyelid(s) is noticeable but not causing a reduction in the field of vision, surgery can be performed to elevate the lids to a more desirable height or create better symmetry between the sides. Recovery from ptosis surgery is usually quite rapid, and patients find themselves returning back to work within a few days.



Dermal Fillers (eg Juvederm, Restalyne & Belotero)

Hyaluronic gels, a naturally occurring sugar molecule normally found in the skin, like Restylane, Perlane and Juvederm, can be used to replace the volume lost from the area around the eyes as well as other regions of the face. These fillers are ideal for addressing wrinkles due to volume loss and typically will last between 6-12 months.

Neuromodulation (eg Botox, Xeomin)

These injectable neuromodulators (eg Botox, Xeomin) act to temporarily weaken overactive muscles around the eye and can be used for functional conditions such as blepharospam and hemifacial spasm. They can also be used to address more cosmetic conditions such as wrinkles in dynamic areas such as near the eyelids ("crows-feet") or on the forehead.

Fat Grafting/Transfer

Fat can be removed from your abdomen and re-injected to sculpt and re-inflate regions of the face that has lost volume due to aging (or trauma). The most common locations of injection include the upper and lower eyelids, the eyebrows, the temples, and tear trough (fold between the lower eyelids and nose). Transferred fat can last indefinitely.

Lip Augmentation

Lips can be re-inflated and sculpted with dermal fillers or fat grafting to improve appearance. Duration of the filler will depend on the type used, but typically last 6-12 months.

Latisse (eyelash growth stimulation)

This is an FDA approved medication for increasing the fullness of eyelashes. It is applied to the upper eyelid margin (where the lash grow) and can have a dramatic effect in about 3-4 months.


More Information

Byers Eye Institute at Stanford
2452 Watson Court
Palo Alto, CA 94303
Phone: 650.723.6995
Fax: 650.725.6619

For Functional Appointments
Tel: 650.723.6995
Fax: 650.723.6619

For Cosmetic Appointments
Tel: 650.498.6995